Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
129 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Is The Normal Range Of Calcium And PTH After A Total Hip Replacement?

Hi, I am a 56 yr old female, post menopausal. I recently fell and had a total hip replacement. I healed fine and post surgery, my surgeon wanted to run labs to see if I was calcium deficient. I have my primary care Dr, run labs when I was 7 weeks post surgery. My labs came back and the calcium was high at 10.6, the Vitamin D was very low at 18 and the PTH, intact w/out calcium was elevated to 77. I returned to my primary care Dr a little concerned perhaps a parathyroid tumor with all three of these results. She advise these levels were normal after having a hip replacement Can some please give me confirmation if that is correct.
posted on Thu, 18 Jan 2018
Twitter Sat, 22 Sep 2018 Answered on
Twitter Tue, 25 Sep 2018 Last reviewed on
Report Abuse
Orthopaedic Surgeon,  's  Response
Hello,

As such, there is no direct relationship between total hip replacement surgery and blood levels of Calcium and parathyroid hormone.

Parathyroid hormone is one of the factors controlling serum levels of calcium.

If the serum level of calcium is decreased Parathyroid hormone level increases to control it and calcium is released from bone into blood and vice versa.

If vitamin D level is low with increased serum calcium and parathyroid hormone.

It can be a normal finding due to vitamin D deficiency but an expert opinion from endocrinology specialist should be done.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Jayesh Vaza, Orthopaedic Surgeon
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 
Loading Online Doctors....
What Is The Normal Range Of Calcium And PTH After A Total Hip Replacement?

Hello, As such, there is no direct relationship between total hip replacement surgery and blood levels of Calcium and parathyroid hormone. Parathyroid hormone is one of the factors controlling serum levels of calcium. If the serum level of calcium is decreased Parathyroid hormone level increases to control it and calcium is released from bone into blood and vice versa. If vitamin D level is low with increased serum calcium and parathyroid hormone. It can be a normal finding due to vitamin D deficiency but an expert opinion from endocrinology specialist should be done. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Jayesh Vaza, Orthopaedic Surgeon